About
Helping Independent Dental Practices Take Back Control and Maximize Profit
THE PROBLEM
A change is taking place. Competition from corporate dentistry, low insurance company fees, and increasing expenses are placing significant pressure on independent dental practices. However, its more clear than ever that patients want a practice that focuses on THEM.
Who you are and the quality of your care matters more now than ever. Yet most practice owners are stuck working IN their practice instead of ON their practice. You’re caught between the pressures of staff, profitability, corporate competition, insurance dependency, and operational complexity while trying to deliver exceptional patient care.
The result? You’re working harder than ever but seeing diminishing returns. You feel like you’ve lost control of your own practice’s destiny.


THE SOLUTION
Your practice CFO should not just be your accountant. They should understand the specifics of how your dental business actually runs and guide you to higher profitability and cash flow. They should be able to dig below the surface of the data to help you understand what’s really going on and why, then help you navigate through the unique and changing financial situations that only dental practice owners face.
That’s where Private Practice CFOs comes in. We don’t just crunch numbers—we help you take back control. We understand the dental industry inside and out: insurance dynamics, patient flow patterns, procedure profitability, healthy scheduling systems, and the operational metrics that actually matter for dental practices.
Our approach goes beyond traditional accounting to provide strategic financial leadership specifically designed for independent dental practices who want to thrive.
THE RESULT
Independent practices that work smarter, not harder. Our clients reduce their insurance dependency, optimize their operations, and maximize their profitability—all while maintaining the independence and patient-focused care that made them become dentists in the first place.
Because your practice deserves financial leadership that understands dentistry and you, not just accounting.
Ready to take back control of your practice’s financial future?
Guiding Independent Dental Practices to Financial Success
Meet the dedicated experts who drive the success of Private Practice CFOs.

James McGarvey, MBA
Founder, Senior CFO and COO
James McGarvey brings over 20 years of accounting and finance expertise to dental practice owners, with the past 15 years exclusively focused on helping dental practices achieve sustainable profitability and operational excellence. His deep understanding of the dental industry’s unique financial landscape has made him a trusted advisor to practices ranging from ambitious startups to established multi-location groups.
Throughout his career in dentistry, James has guided practices through their most critical financial decisions and growth phases. He has provided CFO and COO leadership to over 40 practices, advised on the startup of more than 30 practices and facilitated the successful purchase or sale of an additional 25 practices. His hands-on leadership experience includes serving as co-founder and CFO/COO of both a pediatric dental group and a general dental practice group in North Carolina, giving him invaluable insight into the operational challenges that practice owners face daily.
James’s expertise extends far beyond traditional accounting. His ability to identify profit optimization opportunities, streamline operations, and develop strategic growth plans has helped countless practices work smarter, not harder, while significantly improving their bottom line.
James earned his BA in Economics from the University of Virginia and his MBA from The Wharton School at the University of Pennsylvania. This strong academic foundation, combined with his extensive real-world experience, enables him to provide both strategic vision and practical solutions to complex financial challenges.
James’s unique combination of dental industry expertise, broad business experience, and genuine passion for helping practice owners succeed makes him an invaluable partner for practices seeking to optimize their financial performance and achieve long-term growth.

Katie Finneran
Bookkeeping and Accounts Specialist
Katie’s 20 years of experience spans public and private accounting. She brings the knowledge, organization, and detail orientation that ensures no stone goes unturned in delivering accurate and insightful accounting statements.
Expert CFO and COO Solutions for Independent Dental Practices
Hear what our clients are saying about the transformative impact our services have had on their practices.

Thanks to Private Practice CFOs, our financial and operational strategies are now stronger than ever, and our growth has been remarkable.
Dr. David Hendrick
Owner, Lower Creek Family Dentistry
The team at Private Practice CFOs helped us streamline our bookkeeping, saving us both time and money.
North Carolina
DDS